Around 8am I wrote to Bizi that I was stable and just having intrusive thoughts.

Around 9:30 while talking to the cab driver who was bringing me to my pdoc appointment, I realized my mood was elevated and I was especially chatty. I was in danger of being late to my appointment because I couldn't shut up and lost track of the time. Fortunately, she was running late.

In the waiting room, I went over yesterday's events in my mind. I had vacuumed, done 4 loads of laundry, swept the kitchen and bathroom floors, and made corned beef and cabbage. Doing all this is atypical for me given my usual limitations d/t MS. I also woke up 2hrs earlier than normal this morning.

I am hypomanic.

By now, you all know my history. It took months to shut down my last episode. I ****ing hope that's not the case this time. I can't bear the thought of struggling through another long episode like that. And I have no desire to spend the holidays in the psych ward again.

Seroquel is my heavy-hitter. I'm at 700mg now. The dose is being increased to 750mg. That should help with the intrusive thoughts, and hopefully the hypomania. The limit for seroquel is 800mg... I don't like being so close to that limit.

The second significant med is gabapentin. I'm currently on 400mg, a relatively low dose. That can be increased to 600mg and beyond if necessary. The increase(s) here are up to my discretion, based on my response to the 50mg increase of seroquel.

Getting the right balance of seroquel and gabapentin is what finally squashed that long episode. I hope it works (fast) this time around. Depending on how I feel tomorrow after adding the extra 50mg of seroquel tonight, I may increase the gabapentin to 600mg tomorrow night. I escalate too quickly to wait around.

At least I'm euphoric, and not dysphoric at this point.


Meanwhile, drunk.org called to reschedule my substance abuse evaluation again... now it's January 4th. I asked my husband to request the day off, but he's ****** they keep changing it, and he's afraid they'll change it yet again. Even if he asks for the day off, he may not be able to get it because of the holidays. I can't rely on my friend for a ride. He's going to be out of town. I may have to reschedule it. What a pain in the ***.

I asked pdoc for the note saying I'm proactive and compliant in my MH care so I can bring it to the evaluation. She said it was no problem. It will be ready for me at my next appointment on the 28th.